Wisdom teeth, also known as third molars, are the last set of teeth to emerge in your mouth. For some individuals, these teeth can cause a range of problems such as pain, infection, and crowding. In such cases, the extraction of wisdom teeth becomes necessary. But how exactly do dentists remove these troublesome teeth? Let's explore the process from start to finish.
1. Initial Examination
Before the extraction procedure, a dentist will conduct a thorough examination of your oral health. They may take X-rays to get a better view of the position and condition of your wisdom teeth. This initial assessment helps the dentist determine the complexity of the extraction and plan the best approach.
It's important to disclose any underlying medical conditions or allergies to ensure the procedure is safe. Make sure to inform your dentist about any medications or supplements you are currently taking.
2. Anesthesia
Prior to the extraction, your dentist will administer anesthesia to ensure a painless experience. The level of anesthesia required depends on the complexity of the extraction and your personal preference. There are three primary types of anesthesia used:
a) Local anesthesia: Numbs only the immediate area around the tooth, allowing you to remain awake during the procedure.
b) Sedation anesthesia: Administered through an intravenous (IV) line, it relaxes you and may make you fall asleep during the procedure.
c) General anesthesia: Reserved for complex cases, it renders you completely unconscious, and the procedure is performed in a hospital under the supervision of an anesthesiologist.
3. Incisions and Access
Once you are comfortably anesthetized, the dentist will begin the extraction process. They will make an incision in the gum tissue to access the impacted/wisdom tooth. In cases where the tooth is fully erupted, the incision may not be necessary.
The dentist may also need to remove any bone that is blocking access to the tooth. This is done using specialized instruments, carefully removing small sections of bone if required.
4. Extraction
With clear access, the dentist will proceed with the extraction. Using forceps, they will grip the tooth and gently rock it back and forth to loosen it from the jawbone. Sometimes, the tooth may need to be divided into smaller pieces to facilitate easier removal.
The extraction may involve applying pressure to the surrounding bone, which can cause a slight pushing sensation. However, this should not cause discomfort due to the application of anesthesia.
5. Closure of Incision
If an incision was made, it will be stitched together once the tooth is removed. The stitches used are typically self-dissolving and do not require removal. The dentist may also place gauze over the extraction site to control bleeding and facilitate healing.
6. Post-Extraction Care
After the procedure, the dentist will provide instructions for post-extraction care. This may include:
a) Taking prescribed pain medications or over-the-counter pain relievers as needed.
b) Applying an ice pack to reduce swelling.
c) Eating soft foods and avoiding certain items that can irritate the extraction site.
d) Gently rinsing your mouth with warm saltwater to keep the area clean.
7. Recovery Time
The recovery time after wisdom tooth extraction varies from person to person. Typically, it takes about a week to fully recover. During this period, it's important to follow the dentist's instructions, avoid strenuous activities, and maintain good oral hygiene.
8. Risks and Complications
Although wisdom tooth extraction is a common procedure, it carries some risks and potential complications, including:
a) Dry socket: A condition where the blood clot that normally forms after the extraction dislodges, delaying the healing process and causing intense pain.
b) Infection: Infections may occur if bacteria enter the extraction site.
c) Nerve damage: There is a small risk of nerve damage that can cause numbness or tingling in the tongue, lips, or chin.
d) Sinus problems: Upper wisdom teeth removal can sometimes cause sinus issues.
9. Cost of Wisdom Tooth Extraction
The cost of wisdom tooth extraction can vary depending on various factors such as the complexity of the extraction, geographical location, and dental insurance coverage. On average, the cost ranges between $225 and $600 per tooth. However, impacted or complex extractions can cost significantly more.
10. Frequently Asked Questions
Q: Is wisdom tooth extraction painful?
A: The procedure should not be painful as local anesthesia is administered. However, you may experience discomfort during the recovery phase.
Q: How long does the extraction procedure take?
A: The extraction itself typically takes around 20-30 minutes. Including the pre-extraction preparation and post-extraction instructions, the entire process can take a couple of hours.
Q: Will I be able to eat normally after the extraction?
A: Initially, you will need to stick to a soft-food diet to aid healing. As you recover, you can gradually reintroduce regular foods based on your comfort level.
References:
1. American Dental Association. Wisdom Teeth: When They Need to Come Out
2. Mayo Clinic. Wisdom tooth extraction: What you can expect
3. WebMD. Wisdom Tooth Extraction: What You Should Know
